Medicare (CMS) updates concerning prior authorization

The Advocacy and Policy Committee would like to bring to your attention some very recent updates put forth by Medicare (CMS) concerning prior authorization. This past March, CMS adopted a new rule requiring prior authorization (PA) for selected Implanted Spinal Neurostimulator (SCS) procedures performed in an Outpatient Hospital Department (OPD) for dates of services on or after July 1, 2021.
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Click here to learn more about the potential impact to SCS patients and providers due to these new requirements.